Student Health Forms

Find important general and College of Health Professions forms, as well as information about vaccines. Questions? Call Student Health Services at 316-978-4SWC (4792).

Mail completed forms to:

Student Health Services
1845 Fairmount, Box 92
Wichita, KS 67260

Or fax them to 316-978-3517.

General

Minor Medical Release (PDF)

Physical Exam Form - Program and GYN (PDF)

Record Release Form (PDF)

TB Screening Form (PDF) *
*Not for incoming students.
» Learn more about TB Testing for incoming students
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New Student Forms

» View a list of forms for students who are new to Wichita State

College of Health Professions Forms

College of Health Professions Checklist (PDF)

Exposure Report for Student Health (PDF)

Physical Exam Form - Program and GYN (PDF)

Vaccines

Find a list of the vaccines offered to help complete a checklist.